The ascending aorta valve-sparing prosthetics with abnormal location of the coronary artery circumflex

Highlights. The combination of congenital aortic valve insufficiency and abnormal coronary artery discharge is rare. Taking into account the fact that coronary angiography is not indicated for young patients, there may be a risk of injury to the coronary artery during the correction of aortic malformation. The published case indicates the need for routine coronary angiography for all patients, regardless of their age, who are going to have aortic valve surgery.Background. Anomalous origin from right sinus and pathway of circumflex coronary artery can complicate aortic valve and root procedures. Computed tomography scan with contrast and selective angiography help to recognize the malformation and protect circumflex artery. Herein we present the case of valve sparing root replacement in patient with bicuspid regurgitant aortic valve and anomalous origin of circumflex artery.